Individual
ILEISA INDIA AMANA OLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 E FRONT AVE, SPOKANE, WA 99202-2139
(509) 626-9900
Mailing address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 626-9900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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